Yolanda Sue Brown, MT

Individual provider Active NPI Massage Therapist · Clinton, UT

NPI 1639644347 · NPPES record last updated May 1, 2023

Key facts

NPI
1639644347
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
6182383-4701 (UT)
Practice address
1407 N 2000 W
Clinton, UT 84015-8562
Phone
(801) 668-5396
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
6182383-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasisplus Therapies Past
since Aug 28, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6182383-4701 UT Yes

Addresses

Primary practice location

1407 N 2000 W
Clinton, UT 84015-8562

Mailing address

1407 N 2000 W
Clinton, UT 84015-8562
Phone (801) 784-5777

Other providers in Clinton, UT

All providers in Clinton, UT · Massage Therapist in Utah

Sources for this page

Verify at the official NPI Registry.